GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES

GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM L&WD-2 PERMIT APPLICATION Date Date Application 1. 2. 3. 4. 5. 6. 7. Received: Declared Name, Name, Complete: is hereby made mailing &r-eth Gi_ eNco ?4tm5 Permit No. for a Earth Change/Coastal Zone Permit address and telephone number of applicant. -1*, 01 LAX, BLA lAi id•c-ca‘sicoci nci title, mailing c.osigl (oCe.address and telephone number of owner of property and of developer. Develope -rim 1— Lc, NI -A •r Fovatkicang,FterstsCiena il PA35- 4710SteMectetiovvia, s44vite 101 St Location Estate Zoning Name, ,)I"Aelck -TroMsAii V of activity. 6treck6A-Aoote6 , I 0o$01 NO -175 • 2.ci.c Plot No. F.42, viN (At ,„,,,Apc- 4A Ca.( Island 5--t •MANAS District mailing P_no Pr I dress and telephone number of project designer. EV c.v.70P r‘ VI G cove 1,10,c4 ?..0..-goox 749)j erk•-linntrnot5 ( alio) — 111- lb 00 Name, mailing address and telephone number of principal earthwork contractor. Summary of proposed activity. Include all incidental improvements such as utilities, roads, etc. (Use additional sheets if necessary), Tv rbn <Adm., rt ‘t tit Oii (Vita c.10) 4w1 rsyn;n fnclj -At cv&ce 9 MorAl bJ t l A-Wcp."" 7a. State type of Land Uses as specified in the VI Zoning Law, which are applied for e.g., restaurant, hotel, single dwelling, etc we ys5 0\C-64:ISSN' i( /*I— elv te5 EFTA00617530 FORM L&WD-2/PERMIT APPLICATION 8. Date activity is proposed to start Ge - 11, be completed -3 COI .1Oin 9. Classification of minor or major permit. Check one: EMinor Permit Application Major Permit Application State below which criterion applies in making above check. ReJ,1 ets7r-ri-i a I Coo 06-i•ino 10. Application is hereby made for a permit to authorize the activities described herein. I agree to provide any additional information/data that may be necessary to provide reasonable assurance or evidence to show that the proposed project will comply with the applicable territorial water quality standards or other environmental protection standards both during construction and after the project is completed. I also agree to provide entry to the project site for inspectors from the environmental protection agencies for the purpose of making inspection regarding this applicaton and that to the best of my knowledge and belief, that such information provided herein, is true, complete and accurate. I further certify that I possess the authority to undertake the proposed activities. Signature of Applicant or Agent Signature of Owner (Where Applicant or AgSttf is not er) FOR DEPARTMENT USE ONLY Inspector Record Date Inspected: ( )Permit Approved ( )Permit Disapproved Inspector's Remarks: Inspector Date Commissioner, Planning & Natural Resources Date EFTA00617531 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM L&WD-3 ZONING REQUIREMENTS TABLE The following table shall be completed by the applicant with entries as appropriate for the zoning district in which the activity is taking place. Not all the requirements will necessarily apply to a particular zone. Consult the Zoning Law For your guidance also consult the Zoning Requirement Matrix attached to the application forms, i.e., fora R-2 zone only items I through 11 will apply. Applicants Name: Gcetat 61...31 Signature: Date: 1 // ti/111 Location of Activity-Plot No. Patrnctivictic A Estate &Feat IA av island 6t,Totteil5 Zoning District: R.— 1 1.Proposed use (residential etc.) OW )O0 ,Arrxs•v" er‘cf ; 2. Accessory use if any 6 Lo vrivol tA5 Pool , 6-torete I IA 1 ocy.,t 3. Number of on site parking spaces Existing I proposed 4. Area of lot, (sq. ft. or acreage) 56, . 1 A c re 6 5. Area covered by proposed and existing buildings, (sq. ft.) 13 0110 6P 6. Setback of building from street property line, (ft.) 5 -Ft _ 7. Side yard setback (ft) IS -et- 8. Rear yard setback (ft) IS-ff. 9. Height of building (ft. or stories depending on zone) One 64-O ry +orlea 10. Proposed: am btu(' t( II. Lot width at street line (ft.) 1 5- 1 -Ft - 12. Area of usable open space (sq. ft. and (%) of lot 114 S oi 404 Sr Ana 91- 13. Persons per acre ratio N N. A - 14. Floor area ratio N-A 15. Number of onsite parking and loading spaces at 16. Building setback (yards I I, W-2 only) FOR DEPARTMENT USE ONLY Inspector: Date: Permit No. EFTA00617532 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM lAWD-5 PROOF OF LEGAL INTEREST AFFIDAVIT ie-c-ccev Ei76-fej being duly sworn depose and say that: Name \ I. I am the (check one) nRecord title owner (fee simple) EOther (specify) of the real property described as Parcel No(s) 1Q mod oaer Pt Estate G cee-a- Aarneb Cc Quarter G A dZej i 1OOC Island 'St- Ln OYY1C4 2. I have the irrevocable approvals, permission, or power of attorney from all other persons with a leg rest in the property to undertake the work proposed in the permit application as more ful orth in the e (s) attached hereto: The foregoing instrument was acknowledged before me this HTli day of JULY 20 i byJEFFM EfSTEIKI at STTHOMAS county of VIMII4 . AR CVelik_ Datmete 2J, 2017- Notary Public My Commission expires DAPHNE L. WALLACE Notary Public - NP-106-13 st.Tnemseist. John, USVI DIebict My Commission Expires Doc. 21, 2017 EFTA00617533 GOVERNMENT OF THE U.S. VIRGIN ISLANDS BUREAU OF INTERNAL REVENUE 6115 EST. SMITH BAY- ST. THOMAS, VI 00802 Tel: (340) 714-9320 Fax: (340) 714-9341 GREAT ST. JIM, LLC 9053 ESTATE THOMAS SUITE 101 ST THOMAS, VI 00802-0000 Dear Taxpayer: 7/06/201 7 4008 ESTATE DIAMOND - PLOT 7-B CHRISTIANSTED, VI 00820 Tel: (340) 773-1040 Fax: (340) 773-1006 Business EIN: 660848875 RE: CZM Please Submit This Letter To Your CZM Authority This is in response to your application of 6/28/2017 in which you requested a letter of clearance for a Costal Zone Management Permit pursuant to Title 12, V. I. Code, Section 910 (a) (c). Based on the information in our files, we find that you are current in the filing and payment of your tax obligation. This Certification is for Costal Zone Permit purposes only and does not absolve you of any subsequent revelation of tax obligation past or future. eturns EFTA00617534 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES -O- CHARLOTTE AMAI,IE, ST. THOMAS, VI 00802 OFFICE OF THE LIEUTENANT GOVERNOR CERTIFICATE OF EXISTENCE To Whom These Presents Shall Come: I, OSBERT E. POTTER, Lieutenant Governor of the Virgin Islands, do hereby certify: That GREAT ST. JIM, 1,ILC filed Articles of Organization with the Office of the Lieutenant Governor on OCTOBER 26, 2015 and the Company is duly organized under the laws of the United States Virgin Islands; That the duration of this Limited Liability Company is perpetual: That the company has paid all applicable fees to date; and That Articles of Termination have not been filed by the company. In Witness Whereof, I have hereunto set my hand and affix the seal of the Government of the United States Vir in Islands, at Charlotte Amalie, this 51h day of July, M. 2017. OSBERT E. POTTER Lieutenant Governor of the Virgin Islands EFTA00617535 4Es mee..• GOVERNMENT Of THE UNIGO STATES VIRGIN SUNOS OFFICE OF THE LIEUTENANT GOVERNOR DIVISION OF REAL PROPERTY TAX I IDS King Street • Chestbested. Virgin Monde 00820 • 3/0.771.6449 • Fax 340.7710130 IS Roggen. Gave • Chatelle Amalie. Virgin Islands 006)2 • 341.774.2991 • Fax 140.774.6953 REAL PROPERTY TAX CLEARANCE LETTER TO: Recorder Of Deeds FROM: Office of the Tax Collector In accordance with Title 28, Section 121, as amended, this shall certify that there are no outstanding Real Property Tax obligations for the following: PARCEL NUMBER 1-09801-0101-00 LEGAL DESCRIPTION GREAT ST JAMES ISLAND RED HOOK QTR. OWNER'S NAME KJAER, CHRISTIAN Taxes have been researched up to and including 2016 CERTIFIED TRUE AND CORRECT BY LUDENCE ROMNEY TAX COLLECTOR SIGNATURE 6/28/2017 DATE EFTA00617536 (roan to WD-S) 1:011:94 Flood Plain Determination and Permit Application ru be corripkted by all applicants I. Owner: Gre - on, L, C. Mailing Address gtea..1 RAI cns Pc-cies,„?cac.i) Iaititai 9093 frthilimak olie 101, Home Tel. 0: Business Tel. #16 it& 75, 25.15 cetiwar a. -44 -111°wAii Vi Oe 2. Designer: cilf) P- oc16 c.aseAi a DeCit, (9%700? Lic. ft: 'en-1 A Tel. 0:540;111 -I (700 Cellular 0: 34D- 61 HoSD(-ati, 3. Plot Celt The:\ n °VC- ck Estate: GveM Axnaer ray Quarter: Flood Zone Designation: V .e• YN, U your flood zone designation Is Zone A, AE, AO, AI-30, A99, V, VO, Ve or VI-V30 as shown on the NFLP FIRM Map, then complete this section . NFLP Flood Zone Designation 1. Type of development: I or 2 Family dwelling Mobile Home O Non-Structural O 3 Family or more, Apartment or Condo Structure O Non- Residential Structure: GA Cer1 L Commercial Structure O Addition to Structure O New Construction O Non-Structural O 50% Substantial Improvement of Existing Structure O Description of Activity ree-Dicerk.--4/ - fn 1/4i calicAcs. /.4‘viviivo'iy5 'it 64.0<-0,1 2. Base Flood Elevation at the Development Site is 93 A. above can sea level (oui) • 3. Elevation of the First Floor, Basement or Flood proof level for proposed structure is 1 2_ 4. Describe the NorirStructural Activity i.e. septic tank, vatic water treatment plant, etc., (including the location and development): .3 1 mm IV% 17) (ICC, q‘ Ste.cc\cf DLit 05) 5. Attach a certified copy of site plan ( 8.5" x II" ) showing Base Flood Elevation . See sample attached. FOR OFFICE USE ONLY Ls the property located In an Identified Flood Hazard Area? ( ) YES ( ) NO NFEP Zone Designation: Forward to Flood Plain Manager : ( ) YES ( ) NO Application : APPROVED ( ) DENIED ( ) RESUBMIT ( ) Plan Reviewer Name: Signature: Date: EFTA00617537